健康体检45岁以上糖尿病患者糖尿病视网膜病变的相关调查

发布时间：2018-04-09 00:01

  本文选题：糖尿病　切入点：DR　出处：《山西医科大学》2012年硕士论文

【摘要】：研究目的 调查山西医科大学第一医院健康体检事业单位人群中，45岁以上糖尿病患者糖尿病视网膜病变的患病率及其相关影响因素，以期为我省糖尿病视网膜病变的防治提供参考资料，并且为推进实现“视觉2020”行动打下一定的基础。研究方法 2010年6月到2011年3月份太原市迎泽区11个事业单位在山西医科大学第一医院进行健康体检，45岁以上者行免散瞳双眼眼底照相及测空腹血糖浓度，通过眼底照片来确诊DR，眼底照片模糊者进行眼前节照相。确诊为糖尿病的患者进行问卷调查，同时进行相关知识宣教，对眼底有病变者建议健康体检后到门诊进行详细眼科检查。计算糖尿病及糖尿病视网膜病变的患病率，，所有统计工作均采用SPSSl3.0软件完成。 结果 健康体检总人群为7300例，45岁以上体检对象有5070例，行双眼眼底照相者5012例，应答率为98.9%，确诊为糖尿病的患者574例，眼底照片可以分级者480例，糖尿病视网膜病变95例（95/480，19.8%）。糖尿病病程≤5年、5~10年、10~15年、15~20年、≥20年DR的患病率分别为11.8%、13.2%、15.4%、27.0%、62.5%。问卷调查显示听说过糖尿病视网膜病变者比例为86%，治疗情况显示单纯用降血糖药、口服降血糖药联合胰岛素者、单纯用胰岛素者其DR的患病率分别是18.8%、19.8%、25.9%。性别、糖尿病病程、家族史、血糖浓度、是否查眼底与DR有密切关系。 结论 1、健康体检45岁以上糖尿病患者糖尿病视网膜病变的的患病率男性高于女性。 2、健康体检45岁以上糖尿病患者糖尿病视网膜病变的的患病率随着糖尿病病程、空腹血糖浓度的增长而增加。 3、健康体检45岁以上糖尿病患者有糖尿病家族史的糖尿病视网膜病变的患病率高于否认糖尿病家族史者。 4、性别、糖尿病病程、空腹血糖浓度、糖尿病家族史、是否查眼底是糖尿病视网膜病变的危险因素。 5、问卷调查显示了解糖尿病视网膜病变相关知识的患者数较低，加大宣传相关知识教育降低糖尿病视网膜病变发生发展是非常必要的。
[Abstract]:Research purposeTo investigate the prevalence rate of diabetic retinopathy (DM) in patients over 45 years of age in the health examination institutions of the first Hospital of Shanxi Medical University and its related influencing factors, in order to provide references for the prevention and treatment of diabetic retinopathy in our province.And to promote the realization of "vision 2020" action to lay a certain foundation.Research methodFrom June 2010 to March 2011, 11 institutions in Yingze District, Taiyuan City, underwent a health examination at the first Hospital of Shanxi Medical University. Those over 45 years of age underwent eye photography without pupil dilation and fasting blood glucose concentration was measured.The DRs were diagnosed by fundus photographs, and those with blurred fundus photographs were photographed in the anterior segment.The patients diagnosed with diabetes mellitus were investigated by questionnaire, and the patients with ocular fundus diseases were advised to go to the outpatient department for detailed ophthalmic examination after physical examination.The prevalence of diabetes mellitus and diabetic retinopathy was calculated by SPSSl3.0 software.ResultThere were 5070 subjects over 45 years old in 7300 healthy people, 5012 cases underwent binocular fundus photography, the response rate was 98.9, 574 cases were diagnosed as diabetes mellitus, 480 cases were classified by fundus photograph, 95 cases (95 / 480) were diagnosed as diabetic retinopathy.The prevalence rate of diabetes mellitus 鈮

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